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Table 2 Univariate/multivariate logistic regression analysis for the association of pre−/post-operative characteristics with LCOS

From: Risk factors for low cardiac output syndrome in children with congenital heart disease undergoing cardiac surgery: a retrospective cohort study

  

Univariate analysis

Multivariate analysis

Parameter

 

OR (95% CI)

P-value

OR (95% CI)

Pvalue

Age (days)

 

0.992 (0.989,0.995)

< 0.001

0.992 (0.988,0.997)

0.001

Gender

Male vs Female

1.06 (0.92,1.22)

0.4

  

AI

 

1.118 (1.008,1.239)

0.034

  

MR

 

1.06 (0.99,1.14)

0.1

  

PI

 

0.845 (0.751,0.951)

0.005

  

TR

 

1.226 (1.13,1.33)

< 0.001

1.192 (1.072,1.326)

0.001

RACHS-1 risk grade

 

2.094 (1.903,2.304)

< 0.001

1.166 (1.011,1.345)

0.035

Aortic shunt

Left-to-right vs None

2.363 (1.904,2.932)

< 0.001

1.37 (1.005,1.867)

0.046

Right-to-left vs None

27.469 (5.318,141.869)

< 0.001

  

Bi-directional vs None

5.087 (3.721,6.953)

< 0.001

1.716 (1.138,2.587)

0.01

Atrial shunt

Left-to-right vs None

1.396 (1.151,1.693)

0.001

1.407 (1.097,1.805)

0.007

Right-to-left vs None

4.412 (3.149,6.18)

< 0.001

3.168 (1.944,5.163)

< 0.001

Bi-directional vs None

4.111 (3.34,5.059)

< 0.001

1.87 (1.389,2.519)

< 0.001

Ventricular level shunt

Left-to-right vs None

0.37 (0.288,0.476)

< 0.001

0.676 (0.486,0.94)

0.02

Right-to-left vs None

3.16 (0.65,15.32)

0.2

3.458 (0.452,26.448)

0.2

Bi-directional vs None

2.452 (2.052,2.93)

< 0.001

2.09 (1.611,2.712)

< 0.001

Operation characteristics

Emergency non-extracorporeal surgery vs Selective extracorporeal surgery

9.58 (0.6153.34)

0.1

  

Emergency extracorporeal surgery vs Selective extracorporeal surgery

6.153 (4.425,8.556)

< 0.001

  

Selective non-extracorporeal surgery vs Selective extracorporeal surgery

0 (0,1.053157E255)

0.97

  

Elective thoracotomy vs Selective extracorporeal surgery

0 (0)

0.98

  

History of heart surgery

YES vs NO

2.17 (1.772,2.658)

< 0.001

  

Residual shunt

YES vs NO

4.264 (2.252,8.073)

< 0.001

3.489 (1.502,8.105)

0.004

LVOTO

YES vs NO

3.81 (2.078,6.988)

< 0.001

3.934 (1.673,9.254)

0.002

RVOTO

YES vs NO

5.82 (2.967,11.418)

< 0.001

3.638 (1.225,10.798)

0.02

Circulating temperature

Mild hypothermia vs Normal temperature

3.271 (2.741,3.903)

< 0.001

1.526 (1.205,1.934)

< 0.001

Deep hypothermia vs Normal temperature

9.289 (5.328,16.194)

< 0.001

1.369 (0.587,3.194)

0.467

Middle and low temperature vs Normal temperature

7.691 (6.202,9.537)

< 0.001

1.738 (1.236,2.443)

0.001

Circulation method

Low flow vs Full flow

11.395 (3.47,37.422)

< 0.001

  

Cerebral perfusion vs Full flow

3.671 (2.591,5.199)

< 0.001

  

Parallel CPB vs Full flow

0.94 (0.63,1.42)

0.8

  

Circulatory arrest vs Full flow

2.813 (1.274,6.214)

0.011

  

Cardio-cerebral Perfusion vs Full flow

1.90 (0.22,16.28)

0.6

  

CPB duration (min)

 

1.016 (1.014,1.017)

< 0.001

1.009 (1.006,1.012)

< 0.001

Aortic clamping time (min)

 

1.026 (1.023,1.028)

< 0.001

  

Postoperative rhythm of the heart

III°AVB vs Sinus rhythm

9.181 (3.81,22.121)

< 0.001

  

II°AVB vs Sinus rhythm

2.869 (1.048,7.851)

0.04

  

Atrioventricular dissociation vs Sinus rhythm

2.30 (0.49,10.83)

0.3

  

Supraventricular tachycardia vs Sinus rhythm

4.59 (0.84,25.1)

0.1

  

Difficult to wean from CPB

YES vs NO

4.524 (1.129,18.121)

0.033

  

Myocardial preservation

HTK vs Cold blood cardioplegia (4:1)

4.744 (4.014,5.607)

< 0.001

1.677 (1.298,2.167)

< 0.001

BMI

<5th percentile vs 5th~5th percentile

1.305 (1.086,1.569)

0.004

  

>95th percentile vs 5th~5th percentile

1.03 (0.82,1.28)

0.8

  

LVEF

< cut off value vs Normal

1.07 (0.90,1.27)

0.4

  

> cut off value vs Normal

1.09 (0.87,1.37)

0.5

  

LVFS

< cut off value vs Normal

1.18 (1.00,1.4)

0.1

  

> cut off value vs Normal

1.18 (0.93,1.48)

0.2

  

Mitral insufficiency

YES vs NO

1.309 (1.006,1.702)

0.045

1.714 (1.239,2.37)

0.001

Mitral stenosis

YES vs NO

1.77 (0.87,3.64)

0.1

  
  1. Abbreviation: OR Odds Ratio, CI Confidence Interval, LCOS Low Cardiac Output Syndrome, BMI Body Mass Index, AI Aortic Insufficiency, MR Mitral Regurgitation, PI Pulmonary Insufficiency, TR Tricuspid Regurgitation, LVEF Left Ventricular Ejection Fraction, LVFS left ventricular fraction shortening, CPB Cardiopulmonary Bypass, LVOTO Left Ventricular Outflow Tract Obstruction, RVOTO Right Ventricular Outflow Tract Obstruction, HTK histidine-tryptophan-ketoglutarate, AVB atrioventricular block